TITLE 1.ADMINISTRATION

Part 15. TEXAS HEALTH AND HUMAN SERVICES COMMISSION

Chapter 353. MEDICAID MANAGED CARE

Subchapter E. STANDARDS FOR THE STATE OF TEXAS ACCESS REFORM (STAR)

1 TAC §§353.401 - 353.403, 353.405, 353.407, 353.409, 353.411, 353.413, 353.415, 353.417, 353.419

Effective September 1, 2001, the operation of several Texas Department of Health Medicaid programs was transferred to the Texas Health and Human Services Commission, which is the single state agency for the administration of the Texas Medical Assistance (Medicaid) program. (42 U.S.C. §1396a; 42 C.F.R. §431.10b (2000); and Tex. Gov't. Code Ann. §531.021(a) and §531.0055(b)(1). See Senate Bill 509, 74th Legislature, 1995.)

As a result of the transfer, Title 25, Part 1, §§30.21-30.30 and 30.32 are being moved to Title 1, Part 15, Chapter 353, Subchapter E. They will be renumbered as §§353.401-353.403, 353.405, 353.407, 353.409, 353.411, 353.413, 353.415, 353.417, and 353.419.

A complete conversion chart is published in the Tables and Graphics section.

Figure: 1 TAC Chapter 353, Subchapter E

Filed with the Office of the Secretary of State on May 7, 2002.

TRD-200202938

Effective date: September 1, 2001


Chapter 354. MEDICAID HEALTH SERVICES

Subchapter A. PURCHASED HEALTH SERVICES

1 TAC §§354.1001 - 354.1006, 354.1015, 354.1017, 354.1021, 354.1023, 354.1031, 354.1033, 354.1035, 354.1037, 354.1039, 354.1041, 354.1043, 354.1051, 354.1052, 354.1061, 354.1062, 354.1071 - 354.1073, 354.1075, 354.1077, 354.1091, 354.1092, 354.1101, 354.1102, 354.1111, 354.1113, 354.1115, 354.1121, 354.1131, 354.1135, 354.1137, 354.1139, 354.1141, 354.1143, 354.1145, 354.1147, 354.1149, 354.1151, 354.1153, 354.1155, 354.1157, 354.1159, 354.1161, 354.1163, 354.1165, 354.1167, 354.1169, 354.1171, 354.1173, 354.1175, 354.1181, 354.1183, 354.1185, 354.1201 - 354.1203, 354.1211, 354.1212, 354.1221, 354.1231, 354.1233, 354.1235, 354.1251, 354.1252, 354.1261, 354.1262, 354.1271, 354.1272, 354.1275, 354.1281, 354.1282, 354.1291, 354.1292, 354.1301, 354.1302, 354.1311, 354.1312, 354.1321 - 354.1323, 354.1331, 354.1332, 354.1341, 354.1342, 354.1351, 354.1371, 354.1381, 354.1382

Effective September 1, 2001, the operation of several Texas Department of Health Medicaid programs was transferred to the Texas Health and Human Services Commission, which is the single state agency for the administration of the Texas Medical Assistance (Medicaid) program. (42 U.S.C. §1396a; 42 C.F.R. §431.10b (2000); and Tex. Gov't. Code Ann. §531.021(a) and §531.0055(b)(1). See Senate Bill 509, 74th Legislature, 1995.)

As a result of the transfer, Title 25, Part 1, §§29.1-29.6, 29.101, 29.102, 29.104, 29.105, 29.301-29.306, 29.308, 29.401, 29.403, 29.501, 29.502, 29.602-29.605, 29.607, 29.701, 29.702, 29.801, 29.802, 29.901-29.903, 29.1001, 29.1101, 29.1105-29.1125, 29.1128-29.1130, 29.1201, 29.1202, 29.1204, 29.1301, 29.1302, 29.1402, 29.1501-29.1503, 29.1601, 29.1602, 29.1701, 29.1702, 29.1801, 29.1802, 29.1804, 29.1901, 29.1902, 29.2001, 29.2002, 29.2101, 29.2102, 29.2201, 29.2202, 29.2401, 29.2402, 29.2404, 29.2501, 29.2502, 29.2601, 29.2602, 29.2701, 29.2901, 29.3001, and 29.3002 are being moved to Title 1, Part 15, Chapter 354, Subchapter A. They will be renumbered as §§354.1001-354.1006, 354.1015, 354.1017, 354.1021, 354.1023, 354.1031, 354.1033, 354.1035, 354.1037, 354.1039, 354.1041, 354.1043, 354.1051, 354.1052, 354.1061, 354.1062, 354.1071-354.1073, 354.1075, 354.1077, 354.1091, 354.1092, 354.1101, 354.1102, 354.1111, 354.1113, 354.1115, 354.1121, 354.1131, 354.1135, 354.1137, 354.1139, 354.1141, 354.1143, 354.1145, 354.1147, 354.1149, 354.1151, 354.1153, 354.1155, 354.1157, 354.1159, 354.1161, 354.1163, 354.1165, 354.1167, 354.1169, 354.1171, 354.1173, 354.1175, 354.1181, 354.1183, 354.1185, 354.1201-354.1203, 354.1211, 354.1212, 354.1221, 354.1231, 354.1233, 354.1235, 354.1251, 354.1252, 354.1261, 354.1262, 354.1271, 354.1272, 354.1275, 354.1281, 354.1282, 354.1291, 354.1292, 354.1301, 354.1302, 354.1311, 354.1312, 354.1321-354.1323, 354.1331, 354.1332, 354.1341, 354.1342, 354.1351, 354.1371, 354.1381, and 354.1382.

A complete conversion chart is published in the Tables and Graphics section.

Figure: 1 TAC Chapter 354, Subchapter A

Filed with the Office of the Secretary of State on May 7, 2002.

TRD-200202936

Effective date: September 1, 2001


Subchapter C. CASE MANAGEMENT FOR CHILDREN WHO ARE BLIND AND VISUALLY IMPAIRED

1 TAC §§354.1501, 354.1503, 354.1505, 354.1507, 354.1509, 354.1511

Effective September 1, 2001, the operation of several Texas Department of Health Medicaid programs was transferred to the Texas Health and Human Services Commission, which is the single state agency for the administration of the Texas Medical Assistance (Medicaid) program. (42 U.S.C. §1396a; 42 C.F.R. §431.10b (2000); and Tex. Gov't. Code Ann. §531.021(a) and §531.0055(b)(1). See Senate Bill 509, 74th Legislature, 1995.)

As a result of the transfer, Title 25, Part 1, §§32.101-32.105 and 32.107 are being moved to Title 1, Part 15, Chapter 354, Subchapter C. They will be renumbered as §§354.1501, 354.1503, 354.1505, 354.1507, 354.1509, and 354.1511.

A complete conversion chart is published in the Tables and Graphics section.

Figure: 1 TAC Chapter 354, Subchapter C

Filed with the Office of the Secretary of State on May 7, 2002.

TRD-200202940

Effective date: September 1, 2001


Subchapter F. PHARMACY SERVICES

1 TAC §§354.1801 - 354.1805, 354.1807, 354.1809, 354.1811, 354.1813, 354.1815, 354.1831, 354.1833, 354.1835, 354.1837, 354.1839, 354.1851, 354.1853, 354.1855, 354.1861, 354.1863, 354.1865, 354.1867, 354.1869, 354.1871, 354.1873, 354.1875, 354.1891, 354.1892, 354.1901, 354.1903, 354.1905, 354.1907, 354.1909, 354.1911, 354.1921, 354.1923, 354.1925, 354.1927

Effective September 1, 2001, the operation of several Texas Department of Health Medicaid programs was transferred to the Texas Health and Human Services Commission, which is the single state agency for the administration of the Texas Medical Assistance (Medicaid) program. (42 U.S.C. §1396a; 42 C.F.R. §431.10b (2000); and Tex. Gov't. Code Ann. §531.021(a) and §531.0055(b)(1). See Senate Bill 509, 74th Legislature, 1995.)

As a result of the transfer, Title 25, Part 1, §§35.101-35.110, 35.201-35.205, 35.301-35.303, 35.401-35.408, 35.501, 35.502, 35.701, 35.702, 35.704, 35.705, 35.707, 35.708, and 35.801-35.804 are being moved to Title 1, Part 15, Chapter 354, Subchapter F. They will be renumbered as §§354.1801-354.1805, 354.1807, 354.1809, 354.1811, 354.1813, 354.1815, 354.1831, 354.1833, 354.1835, 354.1837, 354.1839, 354.1851, 354.1853, 354.1855, 354.1861, 354.1863, 354.1865, 354.1867, 354.1869, 354.1871, 354.1873, 354.1875, 354.1891, 354.1892, 354.1901, 354.1903, 354.1905, 354.1907, 354.1909, 354.1911, 354.1921, 354.1923, 354.1925, and 354.1927.

A complete conversion chart is published in the Tables and Graphics section.

Figure: 1 TAC Chapter 354, Subchapter F

Filed with the Office of the Secretary of State on May 7, 2002.

TRD-200202945

Effective date: September 1, 2001


Subchapter I. MEDICAID PROGRAM APPEALS PROCEDURES

1 TAC §§354.2201, 354.2203, 354.2211, 354.2213, 354.2215

Effective September 1, 2001, the operation of several Texas Department of Health Medicaid programs was transferred to the Texas Health and Human Services Commission, which is the single state agency for the administration of the Texas Medical Assistance (Medicaid) program. (42 U.S.C. §1396a; 42 C.F.R. §431.10b (2000); and Tex. Gov't. Code Ann. §531.021(a) and §531.0055(b)(1). See Senate Bill 509, 74th Legislature, 1995.)

As a result of the transfer, Title 25, Part 1, §§36.1, 36.2, and 36.21-36.23 are being moved to Title 1, Part 15, Chapter 354, Subchapter I. They will be renumbered as §§354.2201, 354.2203, 354.2211, 354.2213, and 354.2215.

A complete conversion chart is published in the Tables and Graphics section.

Figure: 1 TAC Chapter 354, Subchapter I

Filed with the Office of the Secretary of State on May 7, 2002.

TRD-200202947

Effective date: September 1, 2001


Subchapter J. MEDICAID THIRD PARTY RECOVERY

1 TAC §§354.2301, 354.2302, 354.2311, 354.2313, 354.2315, 354.2321, 354.2322, 354.2331 - 354.2334, 354.2341, 354.2343, 354.2344

Effective September 1, 2001, the operation of several Texas Department of Health Medicaid programs was transferred to the Texas Health and Human Services Commission, which is the single state agency for the administration of the Texas Medical Assistance (Medicaid) program. (42 U.S.C. §1396a; 42 C.F.R. §431.10b (2000); and Tex. Gov't. Code Ann. §531.021(a) and §531.0055(b)(1). See Senate Bill 509, 74th Legislature, 1995.)

As a result of the transfer, Title 25, Part 1, §§28.101, 28.102, 28.201-28.203, 28.301, 28.302, 28.401-28.404, and 28.501-28.503 are being moved to Title 1, Part 15, Chapter 354, Subchapter J. They will be renumbered as §§354.2301, 354.2302, 354.2311, 354.2313, 354.2315, 354.2321, 354.2322, 354.2331-354.2334, 354.2341, 354.2343, and 354.2344.

A complete conversion chart is published in the Tables and Graphics section.

Figure: 1 TAC Chapter 354, Subchapter J

Filed with the Office of the Secretary of State on May 7, 2002.

TRD-200202934

Effective date: September 1, 2001


Subchapter K. MEDICAID RECIPIENT UTILIZATION REVIEW AND CONTROL

1 TAC §§354.2401, 354.2403, 354.2405, 354.2407

Effective September 1, 2001, the operation of several Texas Department of Health Medicaid programs was transferred to the Texas Health and Human Services Commission, which is the single state agency for the administration of the Texas Medical Assistance (Medicaid) program. (42 U.S.C. §1396a; 42 C.F.R. §431.10b (2000); and Tex. Gov't. Code Ann. §531.021(a) and §531.0055(b)(1). See Senate Bill 509, 74th Legislature, 1995.)

As a result of the transfer, Title 25, Part 1, §§43.21-43.24 are being moved to Title 1, Part 15, Chapter 354, Subchapter K. They will be renumbered as §§354.2401, 354.2403, 354.2405, and 354.2407.

A complete conversion chart is published in the Tables and Graphics section.

Figure: 1 TAC Chapter 354, Subchapter K

Filed with the Office of the Secretary of State on May 7, 2002.

TRD-200202950

Effective date: September 1, 2001


Chapter 371. MEDICAID FRAUD AND ABUSE PROGRAM INTEGRITY

Subchapter G. LEGAL ACTION RELATING TO PROVIDERS OF MEDICAL ASSISTANCE

1 TAC §§371.1601, 371.1603, 371.1605, 371.1607, 371.1609, 371.1611, 371.1613, 371.1615, 371.1617, 371.1619, 371.1621, 371.1623, 371.1625, 371.1627, 371.1629, 371.1641, 371.1643, 371.1645, 371.1661, 371.1663, 371.1665, 371.1667, 371.1669, 371.1671, 371.1673, 371.1675

Effective September 1, 2001, the operation of several Texas Department of Health Medicaid programs was transferred to the Texas Health and Human Services Commission, which is the single state agency for the administration of the Texas Medical Assistance (Medicaid) program. (42 U.S.C. §1396a; 42 C.F.R. §431.10b (2000); and Tex. Gov't. Code Ann. §531.021(a) and §531.0055(b)(1). See Senate Bill 509, 74th Legislature, 1995.)

As a result of the transfer, Title 25, Part 1, §§79.2101-79.2105, 79.2110-79.2119, 79.2301, 79.2303, 79.2304, and 79.2401-79.2408 are being moved to Title 1, Part 15, Chapter 371, Subchapter G. They will be renumbered as §§371.1601, 371.1603, 371.1605, 371.1607, 371.1609, 371.1611, 371.1613, 371.1615, 371.1617, 371.1619, 371.1621, 371.1623, 371.1625, 371.1627, 371.1629, 371.1641, 371.1643, 371.1645, 371.1661, 371.1663, 371.1665, 371.1667, 371.1669, 371.1671, 371.1673, and 371.1675.

A complete conversion chart is published in the Tables and Graphics section.

Figure: 1 TAC Chapter 371, Subchapter G

Filed with the Office of the Secretary of State on May 7, 2002.

TRD-200202952

Effective date: September 1, 2001